| NPI | 1760949168 |
|---|---|
| Doing Business As | IHB MINNEHAHA |
| Entity Type | Organization |
| Authorized Contact | PATRICK ROCK CEO 612-721-9800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2021-05-27 |